Denials Process Consultant 3 yrs of experience in Denial Managemt

Denials Process Consultant***At least 3 years of experience in Denial Management• 5+ years of experience working with RCM hospitals and operations or clinical professionals• 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement • 5+ years of experience creating presentations demonstrating outcomes...

Denials Process Consultant ***At least 3 years of experience in Denial Management • 5+ years of experience working with RCM hospitals and operations or clinical professionals • 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement • 5+ years of experience creating presentations demonstrating...

With over 7,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. Medical Claims Analyst, be 100% YOU with MicroSourcing! A Medical Claims Analyst is expected to: Claim DenialsSubmit appeals as neededSubmit corrected claims as neededCall Insurances to inquire about denied...

Job Summary: This position performs audits of medical records on behalf of hospital clients for denial review, disallowed charges, and utilization reviews. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria such as InterQual and MCG in addition to criteria established by state...

Medical Prior Authorization-Insurance Verification SpecialistPosition Summary:The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed. They work closely with healthcare...

Job Summary: This position performs audits of medical records on behalf of hospital clients for denial review, disallowed charges, and utilization reviews. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria such as InterQual and MCG in addition to criteria established by state...

Dear Candidate,Greetings from AGS Health.We are happy to share our job opening.Job title- Utilization review nurseMode of work - OnsiteLocation – Cyber sigma, Lawton Ave, Mckinley West, Taguig, 1634 Metro Manila, PhilippinesResponsibilities:Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.Request, track and...

Job TypeFull-timeDescriptionFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve...

Job TypeFull-timeDescriptionFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve...

Key Responsibilities: - Strategic Planning: Develop and execute IT strategies aligned with business objectives, identifying opportunities for technological advancements and innovation. - Consultative Advisory: Provide expert consultancy to internal stakeholders on technology trends, emerging IT opportunities, and best practices to enhance business...

Work Schedule: Day ShiftWork Setup: HybridOffice Location: Makati Responsibilities:Work with the Workday team to help clients implement the Workday system. Work closely with the Integration Lead to design, build, test, and deploy integration solutions for Workday clients. Support Data Lead to execute end-to-end data migration from legacy system(s) to...

Responsibilities: Manage full life cycle of design and testing phases.Develop solution design and lead client throughout implementation and support phases.Assist customers maximize strategic business value from company products to provide them with vision of their end state solution and roadmap.Evaluate customer's business requirements, needs and objectives...

The Team The world's first consultancy to be formally endorsed as a One Planet Company and certified carbon neutral, Cundall's ESD team is at the heart of the built environment's response to the global ecological and climate emergencies. The team works with Cundall's wider global sustainable design practice which has delivered some of the most innovative and...

Oracle Cloud Primavera PPM Service Line / Portfolios: Enterprise & Technology Platform - Oracle Location: Philippines Title: Senior Consultant - Oracle Cloud Primavera PPM Are you ready to unleash your potential? At Deloitte, our purpose is to make an impact that matters for our clients, our people, and the communities we serve. We believe we have a...

Who We AreBoston Consulting Group partners with leaders in business and society to tackle their most important challenges and capture their greatest opportunities. BCG was the pioneer in business strategy when it was founded in 1963. Today, we work closely with clients to embrace a transformational approach aimed at benefiting all stakeholders—empowering...

Responsibilities: Manage full life cycle of design and testing phases.Develop solution design and lead client throughout implementation and support phases.Assist customers maximize strategic business value from company products to provide them with vision of their end state solution and roadmap.Evaluate customer's business requirements, needs and objectives...

Job DescriptionResponsibilities:Conduct in-depth analysis of the client’s business processes, organizational structure, and requirements to identify areas where SAP solutions can be implemented or improved.Configure the SAP software according to the client’s requirements.Lead or assist in the implementation of SAP projects by coordinating with the...

The Team The world's first consultancy to be formally endorsed as a One Planet Company and certified carbon neutral, Cundall's ESD team is at the heart of the built environment's response to the global ecological and climate emergencies. The team works with Cundall's wider global sustainable design practice which has delivered some of the most innovative and...

HelloGreetings from AITEK !!2024 brings up a lot of opportunities for SAP Professionals for various modules.As, we are a growing global IT Consulting and Services company we tied up with a large number of IT Companies across the Globe on SAP Platform predominantly. Below are the open positions with experience ranges respectively.Please share your updated...

Healthcare Consulting ManagerQualificationsYour experience counts!Bachelor’s or master’s degree with at least 2 years of experience working in US healthcare, Global healthcare industry or health product organizationsBasic understanding of healthcare payer and provider value chains with exposure toMedium to large business/technology transformation...